Oklahoma · 67924

Extensive Repair Of Turning-Inward Eyelid Defect in Oklahoma

Oklahoma Medicare Avg
$456.30
4% below national avg
National Medicare Avg
$475.07
All states combined
Billed Charge (OK)
$3,577.16
What providers submit
Est. Commercial (OK)
$1,245.02
National avg: $1,347.52
Est. Cash / Self-Pay (OK)
$1,418.03
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

177
Services in OK
28
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Oklahoma

Provider Medicare Services
Oklahoma Outpatient Surgery... $591.00 28
Tulsa Ok Ophthalmology Asc Llc $568.24 17

Oklahoma Pricing in Context

In Oklahoma, CPT code 67924 (Extensive Repair Of Turning-Inward Eyelid Defect) carries an average Medicare payment of $456.30 — 4% below the national benchmark of $475.07. 28 providers across the state submitted claims for this procedure in 2023, performing 177 total services. Individual payments in OK ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Oklahoma is $3,577.16, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Oklahoma sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Eye Surgery procedures, the estimated commercial insurance price in Oklahoma lands near $1,245.02, with self-pay cash prices typically around $1,418.03. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Extensive Repair Of Turning-Inward Eyelid Defect cost in Oklahoma?

The average Medicare payment for Extensive Repair Of Turning-Inward Eyelid Defect in Oklahoma is $456.30, which is 4% below the national average of $475.07. Providers in OK typically bill $3,577.16 for this procedure.

What does Extensive Repair Of Turning-Inward Eyelid Defect cost with insurance in Oklahoma?

With commercial insurance in Oklahoma, Extensive Repair Of Turning-Inward Eyelid Defect costs an estimated $1,245.02. Without insurance, the estimated cash price is $1,418.03. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Extensive Repair Of Turning-Inward Eyelid Defect in Oklahoma?

28 providers in Oklahoma billed Medicare for Extensive Repair Of Turning-Inward Eyelid Defect in 2023, performing 177 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Extensive Repair Of Turning-Inward Eyelid Defect cheaper in Oklahoma than the national average?

Yes — Extensive Repair Of Turning-Inward Eyelid Defect costs 4% below the national average in Oklahoma. The state average Medicare payment is $456.30 compared to $475.07 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial